误吞铁针入咽喉，急饮蛤蟆血数头，针不即吐笤篱散，或食饴糖出不留。
【注】铁针误入咽喉，无药可施，宜用癞蛤蟆数个，将头剁去，倒垂流血，以碗接之，
得一杯许，灌入喉中，移时连针吐出，针自软曲。一方用旧笤篱 存性，研末，每服三
钱，黄酒调服，亦能化针，或用饴糖一斤，食尽便出。
误吞铜钱虽无疼，久留腹中病必成，荸荠能化坚为软，多食无伤可化铜。
【注】误吞铜钱，多食荸荠，即能化坚为软。若误吞铁、骨等物，肠中不能转送觉坠
者，多食青菜、猪脂，自然送入大肠，与粪同出甚效。
骨鲠咽喉最可忧，吐咽刺痛碍咽喉；鱼骨须用鸭涎灌，兽骨狗涎灌即瘳。
【注】此证由咽物急迫，骨鲠于咽喉，妨碍饮食，吐咽刺痛，宜急治之。然有鱼骨、兽
骨之分，误吞鱼骨者，用河中养蓄活鸭，倒挂垂涎，以瓷碗接下，令患人仰卧频灌，其
骨尽化；误吞兽骨者，用狗一只，倒挂接涎，如前法频灌，其骨尽化，俱效。若失治，咽
喉肿痛溃脓，宜用冰硼散吹之，不可妄服凉药。若骨势大者，与饮食难下，饿倒胃气者，
俱属难救。
冰硼散（见口部鹅口疮）
杖疮须宜看其形，已破未破要分明，清凉拈痛膏破用，敷之消肿并止疼。未破瘀血
须当砭，汤剂急宜用大成，玉红膏贴瘀腐痛，搽之新肉自然生。
【注】此疮有已破、未破之分。已破者， 随杖后用清凉拈痛膏敷之，疼肿即消；未破
瘀血内攻者，急宜砭去瘀血，内服大成汤，便通自愈。如伤处瘀腐作疼者，生肌玉红膏搽
之，自然腐化新生，其效甚捷。
清凉拈痛膏
如意金黄散一两，加樟脑末三钱和匀，又用生白锻石块三四斤许，以水泡开，水高石
灰二三指，露一宿，将锻石面上浮起油水结如云片者，轻轻带水起入碗内，有水一盅，对
香油一盅，竹箸搅百转，自成稠膏，调前药稀稠得所。不用汤洗，遍敷伤处，纸盖布扎，
夏月一日，冬月二日，方用葱汤淋洗干净，仍再敷之，以肿消痛止为度。
【方歌】清凉拈痛金黄散，加入樟脑末三钱，杖疮破后多疼痛，锻石水油调敷痊。
大成汤（见跌扑）
生肌玉红膏（见溃疡门）
如意金黄散（见肿疡门）
误吞铁针进入咽喉，应立即饮用数只蛤蟆的血，若针未立即吐出，可服用笤篱散，或者食用饴糖使其排出而不滞留。
【注】铁针误入咽喉，常规药物难以施治，宜选用数个癞蛤蟆，去掉头部，倒挂让其流血，用碗接取，得到约一杯的量，灌入喉中，过一段时间后连针一起吐出，针体自然变软弯曲。另一方法是用旧笤帚的篾片保留药性，研成粉末，每次服用三钱，用黄酒调服，也能化解铁针；或者使用一斤饴糖，吃完后铁针便会排出。
误吞铜钱虽然当时没有疼痛感，但长期留在腹中必然导致疾病，荸荠能够软化坚硬之物，多吃无妨，可以化解铜钱。
【注】误吞铜钱，多吃荸荠，就能将坚硬之物化为柔软。如果误吞铁器、骨头等物，在肠中无法转动运送且感觉下坠的，多吃青菜和猪油，自然会送入大肠，与粪便一同排出，效果很好。
鱼刺卡在咽喉最让人担忧，吞咽时刺痛阻碍咽喉；鱼骨必须用鸭涎灌服，兽骨则用狗涎灌服即可痊愈。
【注】此证是由于咽物急迫，骨头卡在咽喉，妨碍饮食，吞咽时刺痛，应当紧急治疗。然而有鱼骨和兽骨的区别，误吞鱼骨的，用河中养殖的活鸭，倒挂收集其唾液，用瓷碗接住，让患者仰卧频繁灌服，其骨尽化；误吞兽骨的，用一只狗，倒挂收集唾液，如前法频繁灌服，其骨尽化，都有效。如果延误治疗，咽喉肿痛溃烂流脓，宜用冰硼散吹入患处，不可乱服寒凉药物。如果骨势较大，导致饮食难以下咽，饿损胃气的，都属于难治之症。
冰硼散（见口部鹅口疮章节）
杖疮需要观察其形态，已破溃和未破溃要区分清楚，破溃者使用清凉拈痛膏，敷贴以消肿并止痛。未破溃者瘀血应当采用砭石放血，内服汤剂急用大成汤，玉红膏贴敷于瘀腐处，搽涂之后新肉自然生长。
【注】此疮分为已破和未破两种情况。已破溃的，受杖责后立即用清凉拈痛膏敷贴，疼痛肿胀即刻消退；未破溃而瘀血内攻的，急宜用砭石去除瘀血，内服大成汤，大便通畅后自愈。如受伤处瘀血腐坏作痛的，涂抹生肌玉红膏，自然腐去新生，效果非常迅速。
清凉拈痛膏
如意金黄散一两，加入樟脑末三钱混合均匀，另取生白锻石块三四斤左右，用水泡开，水面高于石灰二三指，露天放置一夜，将锻石面上浮起结成云片状的油水轻轻带水捞入碗中，有一盅油水，兑入一盅香油，用竹筷搅拌一百转，自然成为稠膏，调和前述药物的稀稠度适宜。不用热水清洗，遍敷伤处，用纸覆盖布扎紧，夏季一天，冬季两天，再用葱汤淋洗干净，重新再敷，以肿胀消退、疼痛停止为限度。
【方歌】清凉拈痛金黄散，加入樟脑末三钱，杖疮破后多疼痛，锻石水油调敷痊。
大成汤（见跌扑损伤章节）
生肌玉红膏（见溃疡门章节）
如意金黄散（见肿疡门章节）
Swallowing an iron needle into the throat is an emergency; immediately drink the blood of several toads. If the needle does not come out immediately, administer *Tiaoli San* (Broom Bristle Powder) or consume maltose syrup to facilitate its expulsion without retention.
[Note] When an iron needle is mistakenly swallowed into the throat, conventional medicines are ineffective. It is advisable to use several common toads (*Bufo bufo gargarizans*), remove their heads, hang them upside down to collect the flowing blood in a bowl until about one cup is obtained, and pour it into the throat. After some time, the needle will be vomited out along with the blood, becoming soft and curved. Another method involves using old broom bristles that have been processed to retain their medicinal properties, ground into powder, taken three qian per dose, mixed with yellow wine, which can also dissolve the needle. Alternatively, consuming one jin of maltose syrup will cause the needle to pass naturally.
Swallowing a copper coin may initially cause no pain, but if retained in the abdomen for a long time, it will inevitably lead to disease. Water chestnut (*Eleocharis dulcis*) can soften hard objects; consuming it freely can help dissolve the coin.
[Note] For accidentally swallowed copper coins, eating many water chestnuts can soften the hardness. If ironware or bones are swallowed and cannot move through the intestines, causing a sensation of heaviness or dropping, consuming plenty of green vegetables and pork fat will naturally guide them into the large intestine to be excreted with feces, which is very effective.
Fishbones stuck in the throat are most worrying, causing stabbing pain and obstruction during swallowing. Fishbones must be treated by administering duck saliva, while animal bones require dog saliva for cure.
[Note] This condition arises from swallowing food too hastily, causing a bone to lodge in the throat, obstructing diet and causing stabbing pain upon swallowing. Immediate treatment is required. There is a distinction between fishbones and animal bones. For swallowed fishbones, use a live duck raised in a river, hang it upside down to collect its saliva in a porcelain bowl, and frequently administer it to the patient while lying supine, which will dissolve the bone. For swallowed animal bones, use a dog, hang it upside down to collect saliva, and administer as above, which will also dissolve the bone; both methods are effective. If treatment is delayed, leading to swelling, pain, ulceration, and suppuration of the throat, apply *Bingpeng San* (Ice and Borax Powder) via insufflation; do not recklessly administer cold-natured drugs. If the bone is large, making swallowing difficult and damaging stomach qi due to starvation, the case is considered difficult to save.
*Bingpeng San* (see section on Thrush in the Mouth category)
For whip marks (杖疮), one must observe the morphology, clearly distinguishing between broken and unbroken skin. For broken wounds, apply *Qingliang Niantong Gao* (Cooling Pain-Relieving Ointment) to reduce swelling and relieve pain. For unbroken wounds with blood stasis, phlebotomy with bi stone (砭) is indicated, and internally, *Dacheng Tang* (Great Success Decoction) should be urgently administered. Apply *Yuhong Gao* (Jade Red Ointment) to areas of bruising and necrosis; applying it will promote natural regeneration of new flesh.
[Note] This type of wound is divided into broken and unbroken categories. For broken wounds, apply *Qingliang Niantong Gao* immediately after whipping; pain and swelling will subside quickly. For unbroken wounds where blood stasis attacks inward, urgently perform phlebotomy to remove stasis, and internally take *Dacheng Tang*; recovery occurs once bowel movements normalize. For injured areas with bruising, necrosis, and pain, apply *Shengji Yuhong Gao* (Flesh-Regenerating Jade Red Ointment); necrotic tissue will naturally slough off and new tissue will regenerate, with very rapid results.
*Qingliang Niantong Gao*: Mix 1 liang of *Ruyi Jinhuang San* (Ruyi Golden Yellow Powder) with 3 qian of borneol powder (*Zhangnao*). Take 3–4 jin of raw white calcined gypsum rock (*Duanshi*), soak it in water so that the water level is 2–3 fingers above the lime, and leave it exposed overnight. Gently scoop up the oily film floating on the surface of the gypsum, resembling cloud slices, along with some water, into a bowl. Mix one cup of this gypsum water with one cup of sesame oil, stir vigorously with a bamboo chopstick for 100 turns until it forms a thick paste. Adjust the consistency with the aforementioned powders. Do not wash with hot water. Apply evenly to the injured area, cover with paper, and bind with cloth. In summer, change daily; in winter, change every two days. Then wash clean with scallion decoction and reapply, continuing until swelling subsides and pain stops.
[Formula Song]: *Qingliang Niantong* uses *Jinhuang San*, add three qian of borneol powder; for painful broken whip wounds, mix with gypsum water and oil to cure.
*Dacheng Tang* (see section on Traumatic Injuries)
*Shengji Yuhong Gao* (see section on Ulcers)
*Ruyi Jinhuang San* (see section on Swellings and Sores)